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生育率下降已成为全球性问题，对社会经济发展产生了深远影响。本文通过对国际相关政策进行梳理和分析，总结了促进生育率提高的国际实践经验和政策建议，提出应全面推进生育健康，包括性教育、避孕知识、孕前保健等方面的宣传和教育，为女性提供全面的健康支持和资源，帮助女性作出明智的生育决策，为父母提供合适的儿童照护服务，以促进生育健康和社会可持续发展。同时，应综合考虑社会保障、儿童照护和女性生育健康等多个方面的政策措施，以有效提高生育率或生育力。此外，政策的设计和实施还需要考虑到本国的文化、经济和社会背景，以确保其有效性和可持续性。未来的政策发展应借鉴国际成功案例和实践经验，继续加强对政策的评估和监测，以促进生育率的提高。
Abstract：The decline of fertility rates has become a global issue, impacting socio-economic development profoundly. This paper analyses international policies to summarize the best practices and policy recommendations for increasing fertility rates. It advocates for comprehensive advancement in fertility health promotion and education, emphasizing sexuality education, contraception awareness, and pre-pregnancy healthcare to provide women with comprehensive health support and resources, aiding them in making informed reproductive decisions. Additionally, the provision of adequate childcare service for parents is recommended to promote reproductive health and sustainable social development. Furthermore, policies integrating social security, childcare, and women's reproductive health can effectively enhance fertility rates or fecundity. Lastly, policy design and implementation should consider cultural, economic, and social contexts of each country to ensure its effectiveness and sustainability. Future policy development should draw on international success stories and best practices, strengthen policy evaluation and monitoring to achieve higher fertility rates.
[1]Rossin M.The effects of maternity leave on children’s birth and infant health outcomes in the United States[J].J Health Econ,2011,30(2):221-239.
[2]Global People Strategist.4 countries with the best parental leave laws[EB/OL].(2021-03-23)[2023-12-20].https://www.globalpeoplestrategist.com/4-countrieswith-the-best-parental-leave-laws/.
[3]Duvander AZ,Andersson G.Gender equality and fertility in Sweden[J].Marriage Fam,2006,39(1/2):121-142.
[4]Lalive R,Zweimüller J.How does parental leave affect fertility and return to work?Evidence from two natural experiments[J].Q J Econ,2009,124(3):1363-1402.
[5]Social Fund of Russia.Maternity (family) capital[EB/OL].(2023-08-01)[2023-12-20].https://sfr.gov.ru/en/matcap/.
[6]Central Provident Fund Board(CPFB).Baby bonus benefits and support for new parents[EB/OL].(2023-02-14)[2023-12-20].https://www.cpf.gov.sg/member/infohub/educational-resources/baby-bonus-benefits-and-supportfor-new-parents.
[7]Brekke KR,Levaggi R,Siciliani L,et al.Patient mobility and health care quality when regions and patients differ in income[J].J Health Econ,2016,50:372-387.
[8]Brekke KR,Straume OR.Competition policy for health care provision in Norway[J].Health Policy,2017,121(2):134-140.
[9]Kornstad T,R?nsen M.Women’s wages and fertility revisited evidence from Norway[J].Eur J Popul,2017,34(4):491-518.
[10]Ma L,Andersson G,Duvander AZ,et al.Fathers’uptake of parental leave:forerunners and laggards in Sweden,1993-2010[J].J Soc Policy,2020,49(2):361-381.
[11]Duvander AZ,Ferrarini T.Sweden’s family policy under change:past,present,future[EB/OL].(2014-01-23)[2023-12-20].https://library.fes.de/pdf-files/id/10232.pdf.
[12]Ferrarini T,Duvander AZ.Earner-carer model at the crossroads:reforms and outcomes of Sweden's family policy in comparative[J].Int J Health Serv,2010,40(3):373-398.
[13]Connelly R.The effect of child care costs on married women’s labor force participation[J].Rev Econ Stat,1992,74(1):83-90.
[14]Discuss Japan-Japan Foreign Policy Forum.Ultra-aging Japan’s“issue of the 24th year of Reiwa”-Department stores and banks will close down and local governments will reduce by half[EB/OL].(2022-11-04)[2023-12-20].h t t p s://w w w.j a p a n p o l i c y f o r u m.j p/s o c i e t y/pt201907170948199536.html.
[15]Government of Canada.Toward10-a-day:early learning and child care[EB/OL].(2023-07-24)[2024-01-03].https://www.canada.ca/en/employment-social-development/campaigns/child-care.html.
[16]Prime Minister of Canada Justin Trudeau.10-a-day child care for families in Ontario[EB/OL].(2022-03-28)[2024-01-03].https://www.pm.gc.ca/en/news/news-releases/2022/03/28/10-day-child-care-families-ontario.
[17]Canada Employment and Social Development.Canadawide early learning and child care system improving access to child care and making life more affordable for families[EB/OL].(2023-12-05)[2023-12-20].https://www.canada.ca/en/employment-social-development/news/2023/12/canada-wide-early-learning-and-childcare-system-creating-82000-new-child-care-spaces-andmaking-life-more-affordable-for-families.html.
[18]Rindfuss RR,Guilkey DK,Morgan SP,et al.Child-care availability and fertility in Norway[J].Popul Dev Rev,2010,36(4):725-748.
[19]National Health Service.Pregnancy[EB/OL].(2023-08-05)[2023-12-20].https://www.nhs.uk/pregnancy/.
[20]Swedish Ministry of Health and Social Affairs.Pregnancy[EB/OL].(2023-08-05)[2023-12-20].https://www.1177.se/barn--gravid/graviditet/.
[21]AXA Global Healthcare.A guide to pregnancy and giving birth in Sweden[EB/OL].(2021-07-06)[2023-12-20].https://www.axaglobalhealthcare.com/en/wellbeing/pregnancy/sweden/.
[22]Healthdirect Australia,Australian Government.Pregnancy,birth and baby[EB/OL].(2023-08-05)[2023-12-20].https://www.pregnancybirthbaby.org.au/.
[23]Hailes J.Creating a healthier future for all women[EB/OL].(2023-12-19)[2023-12-20].h ttps://www.jeanhailes.org.au/.
[24]HervaláM,Oliveira DPD,Gomes VE,et al.Health education strategies targeting maternal and child health[J].Medicine(Baltimore),2019,98(26):e16174.
[25]Bengtsson J,Bolander E.Strategies for inclusion and equality-‘norm-critical’sex education in Sweden[J].Sex Edu,2020,20(2):154-169.
[26]Rutgers International.Dutch attitudes and approaches to sexuality[EB/OL].(2023-08-05)[2023-12-20].https://rutgers.international/about-rutgers/dutch-attitudes-andapproaches-to-sexuality/.
[27]Mamas A.Sex education in the Netherlands[EB/OL].(2023-08-05)[2023-12-20].https://amsterdam-mamas.nl/articles/sex-education-in-the-netherlands/.
[28]Shahzad A.International experts love Sweden’s sex-ed-96%of students don’t apolitical[EB/OL].(2023-12-19)[2023-12-20].https://apolitical.co/solution-articles/en/international-experts-love-swedens-sex-ed-96-of-studentsdont.
[29]Expatica Netherlands.Sexual and reproductive health in the Netherlands[EB/OL].(2023-12-19)[2023-12-20].https://www.expatica.com/nl/healthcare/healthcareservices/sexual-health-netherlands-167441/.
[30]Santelli JS,Kantor LM,Grilo SA,et al.Abstinenceonly-until-marriage:an updated review of U.S.policies and programs and their impact[J].J Adolesc Health,2017,61(3):273-280.
[31]Ziebe S,Devroey P.Assisted reproductive technologies are an integrated part of national strategies addressing demographic and reproductive challenges[J].Hum Reprod Update,2008,14(6):583-592.
[32]Chambers GM,Sullivan EA,Ishihara O,et al.The economic impact of assisted reproductive technology:a review of selected developed countries[J].Fertil Steril,2009,91(6):2281-2294.
[33]Rainer H,Selvaretnam G,Ulph D.Assisted reproductive technologies(ART) in a model of fertility choice[J].JPopul Econ,2011,24(3):1101-1132.
[34]Jungheim ES,Leung MY,Macones GA,et al.In vitro fertilization insurance coverage and chances of a live birth[J].JAMA,2017,317(12):1273-1275.
[35]Dunn AL,Stafinski T,Menon D.An international survey of assisted reproductive technologies (ARTs)policies and the effects of these policies on costs,utilization,and health outcomes[J].Health Policy,2014,116(2/3):238-263.
[36]西藏自治区商务厅.我区出台《方案》建立完善积极生育配套支持政策[EB/OL].(2023-02-16)[2023-02-28].http://swt.xizang.gov.cn/xwzx/xzxw/202302/t20230228_343606.html.
[37]任泽平，梁建章，黄文政，等.中国人口形势报告2023：我国总和生育率全球倒数，鼓励生育刻不容缓[EB/OL].(2023-02-16)[2023-12-20].https://new.qq.com/rain/a/20230216A007BY00.
[38]国务院办公厅.国务院办公厅关于促进3岁以下婴幼儿照护服务发展的指导意见[EB/OL].(2019-04-17)[2023-12-20].https://www.gov.cn/gongbao/content/2019/content_5392295.htm.
[39]国家卫生健康委员会.国家卫生健康委关于印发托育机构设置标准（试行）和托育机构管理规范（试行）的通知[EB/OL].(2019-10-16)[2023-12-20].https://www.gov.cn/xinwen/2019-10/16/content_5440463.htm.
[40]国务院妇女儿童工作委员会.国家卫健委：我国生育支持政策体系初步建立[EB/OL].(2023-07-12)[2023-12-20].http://www.nwccw.gov.cn/2023-07/12/content_313594.htm.
[41]中共江苏省委，江苏省人民政府.江苏省关于优化生育政策促进人口长期均衡发展实施方案[EB/OL].(2022-03-01)[2023-12-20].https://www.nwccw.gov.cn/2022-03/01/content_300965.htm.
[42]广东省婴幼儿照护与早期发展行业协会.我国婴幼儿照护服务政策：发展历程、演进逻辑与行动展望[EB/OL].(2021-09-29)[2023-12-20].https://www.gdeea.org.cn/detail/ef3a416710424ce5b4ccf930563cbcda.
[43]国家卫生健康委员会.国家卫生健康委关于印发母婴安全行动提升计划（2021-2025年）的通知[EB/OL].(2021-10-09)[2023-12-20].https://www.gov.cn/zhengce/zhengceku/2021-10/15/content_5642740.htm.
[44]原国家卫生和计划生育委员会.国家人口计生委关于印发国家免费孕前优生健康检查项目试点工作技术服务规范（试行）的通知[EB/OL].(2010-05-15)[2023-12-20].http://www.nhc.gov.cn/fys/jslgf/201307/4bad01a08a07468e87b583b28f082d53.shtml.
[45]马骋，毛菊.基于文本分析的中国学校性教育政策结构探究[J].中国学校卫生，2023,44(11):1614-1617.
基本信息:
DOI：10.19757/j.cnki.issn1674-7763.2024.02.013
中图分类号:C924
引用信息:
[1]王曦,邱五七,吴琼,等.促进生育率提高的国际实践经验与政策建议[J].中国妇幼卫生杂志,2024,15(02):69-76.DOI:10.19757/j.cnki.issn1674-7763.2024.02.013.
基金信息:
国务院妇女儿童工作委员会办公室女性生育健康研究项目（202304026GW01）; 国家卫生健康委员会规划发展与信息化司健康中国建设揭榜攻关项目-将健康融入所有政策的现状与对策（JKZGJBGG2303）
2024-04-16
2024-04-16